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P111 NAEINSTRUCTIONS: CLOSING STATEMENT Sign all copies. Keep one copy for your records. Return two copies in the enclosed stamped return envelope. Section 6045 of the Internal Revenue Code, as amended by the Tax Reform Act of 1986, requires the reporting of certain information on every real estate transaction. The information provided below, except for the tax identification number, is adequate information to provide to a tax professional. FEE OWNER: George Nae and Elena Nae ADDRESS: NEQ of Carmel Drive and Keystone Parkway DESCRIPTION OF PROPERTY: A part of the SE of S31, T18N, R4E, Hamilton County PROJECT: Keystone Parkway PARCEL: 111 Fee Owner(s) COUNTY: Hamilton Signature PURCHASE PRICE: $5,610.00 LAND AND /OR IMPROVEMENTS: $5,510.00 DAMAGES: $100.00 ADMINISTRATIVE SETTLEMENT: -0- I (we) certify that the above is t correct and I (we) are in receipt of check. Date March 2- 6, 200 Date CITY OF CARMEL BUYER'S REPORT PROJECT 07 -08; Keystone Parkway PARCEL 111 COUNTY Hamilton NAME ADDRESS OF OWNER George Nae and Elena Nae, husband and wife 20 Horseshoe Lane, Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED George Nae and Elena Nae 20 Horseshoe Lane, Carmel, IN 46033 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 10/30/08 DATE OF CONTACT 11/12/08 TIME OF CONTACT OFFER 5,610.00 TYPE OF CONTACT: PERSONAL VISIT, (X) TELEPHONE CALL, (X) MAIL Write: YES, NO or N/A (for Not Applicable), as appropriate, in each numbered blank space: 1. NO Checked Abstract with owner? 13. N/A Sent Daily Notice to Relocation Section? 2. N/A Any affidavits taken? 14. YES Secured W -9 Form? 3. N/A Any mortgage(s)? 4. N/A Any other liens, judgments, etc.? 5. N/A Showed plans? Explained take? 6. N/A Explained about retentions? 7. N/A Any major item retained? 8. N/A Any minor item retained? 9. N/A Walked over property? 10. N/A Arranged for owner to pay taxes? 11. YES Secured Right -of -Entry? 12. N/A Secured Driveway Right -of -Entry? PHONE 317.587.0319 PHONE 317.587.0319 CODE N/A 9:00 am LEFT FOLLOWING PAPERS WITH OWNERS: MAILED 15. YES Written Offer? 16. YES Land Acquisition Brochure? 17. NO Retention Letter? 18. YES Statement of Just Compensation? 19. N/A Tax memo (interim period)? 20. YES Receipt of Conveyance Instrument? 21. YES Copy of Conveyance Instrument? 22. YES Owner's Appraisal Letter? 23. N/A Brochure, "Relocation You REMARKS: I telephoned the number located via Whitepages.com, however, voice mail was not available. Subsequently, the offer and related information were mailed via "Certified mail, Return Receipt Requested on November 19, 2008, with a date of delivery on November 26, 2008. Included within the packet were the following forms /documents: an introductory letter, the booklet, "ACQUISITION, Acquiring Real Property for Federal And Federal -Aid Programs and Projects and the form acknowledging its receipt, the Confirmation of Opportunity to Accompany Appraiser on Inspection, the Statement of the Basis for Just Compensation, the Appraisal Report, the Uniform Property or Easement Acquisition Offer letter, the Warranty Deed with Exhibits A" and "B the Right -of- Entry with Exhibits, the Sales Disclosure Form, the Accounts Payable Voucher, the "Request for Taxpayer Identification Number and Certification (Form W -9), and the "Owner's Private Appraisal Letter The Uniform Property or Easement Acquisition Offer letter, in accordance with I.C. 32 -24 -1, provides only 30 days from its receipt to accept or reject the City's offer. The 30 days may be waived and the offer accepted or rejected now or at anytime during this period. It was also indicated that the legally protected rights and options under Indiana's Status of Parcel: (X)- Secured, Condemned, -Other (Explain) Distribution Made: (X) Parcel Attorney (X) Owner Other (Specify) Weekly Summary State Form 2601 (R2/3 -91) (Signattire) Elizabeth A. Sullivan Page 1 of 2 State Form 20625 (R15 -90) BUYER'S REPORT PROJECT 07 -08; Keystone Parkway PARCEL 111 COUNTY Hamilton CODE N/A REMARKS (Cont'd): eminent domain law are set forth on page two of the Uniform Land or Easement Offer Letter, as well as within the booklet, "ACQUISITION, Acquiring Real Property for Federal and Federal -Aid Programs and Projects It was explained that typically, the City makes payment within 90 days after receiving the secured parcel file from the consultant and Indiana law dictates that possession of the property will transfer to the City thirty (30) days after payment is received. The introductory letter mailed in conjunction with the offer explained that the project is to improve N. Keystone Parkway, 116 Street, and Carmel Drive. More specifically, a portion of the subject property is required as permanent right -of -way with full limitation of access. The permanent acquisition, known as Parcel 111, contains 0.043 acres. As explained in the form, "Owner's Private Appraisal Letter Mr. and Mrs. Nae may submit an independent appraisal for review at their own expense. The forms /documents requiring signatures and notarization were indicated. Mr. and Mrs. Nae were encouraged to call with any questions or to schedule an appointment. 12/11/08 (12:00 pm) I telephoned to inquire of the status of the parcel and spoke with Mr. Nae. He stated that they are accepting the offer as presented and should have the documents notarized by the weekend. Without further correspondence, the fully executed documents were received. I contacted Hamilton County On Line Services to confirm the status of the owners' taxes. A balance due was indicated. I contacted Mr. Nae and explained that it is necessary for the owner to be current on their real estate taxes prior to forwarding the file for payment. I received confirmation that the taxes were paid on January 20, 2009. The Receipt of Conveyance Instrument was later provided Mr. and Mrs. Nae. Signat a Elizabeth A. Sullivan Date DULY ENTERED FOR TAXATIO Subject to final acceptant, for transfer of l7re• n(\ 200i Daton Parcel f i' uditor of Hamilton County WARRANTY DEED WITH LIMITATION OF ACCESS Subject to any and all easements, agreements, restrictions and other matters of record. 2009017365 WARR DEED $24.00 03/27/2009 10:48:00A 5 PGS Jennifer J Hayden HAMILTON County Recorder IN Recorded as Presented Project: 07 -08; Keystone Parkway Parcel: 1 1 1 THIS INDENTURE WITNESSETH THAT George Nae and Elena Nae, husband and wife (individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana (the "Grantee for the sum of Five Thousand Six Hundred Ten and NO /00 Dollars 5,610.00 and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the following described real estate in Hamilton County, State of Indiana: See attached Exhibit A and B, which is attached hereto and incorporated herein TOGETHER with the permanent extinguishment of all rights and easements of ingress and egress to, from and across the public road known as State Road 431/Keystone Avenue to and from the Grantor's remaining lands as described in Exhibit A. This restriction is a covenant running with the land and shall be binding on the Grantor and on all successors in title to the remaining lands of the Grantor described in Exhibit A. It is understood between the parties hereto, and their successors in title, and made a covenant herein which shall run with the land, that all real estate herein described (excepting any parcels or portions thereof that are specifically and expressly designated as easements or temporary rights of way) are conveyed in fee simple and not merely for right of way purposes, and that no reversionary rights whatsoever are intended to remain in the Grantor. This acknowledgement and agreement is a covenant running with the land and shall be binding upon the Grantor and all successors and assigns. IN WITNESS WHEREOF, Grantor has caused this Warranty Deed to be executed this day f DeC.0 6c t- ,2 oo GRANTOR: George Nae and Elena Nae, husband and wife George Nae, husband Elena Nae, wife STATE OF 1,A4 I /1 r/A- SS: COUNTY OF 4 1M /4c,1 WITNESS my hand and Notarial Seal this My Commission Expires: 1 047 20 (S County of Residence: Jdt.(7 NOTARY CERTIFICATION Before me the undersigned, a Notary Public in and for said County and State, personally appeared George Nae and Elena Nae, husband and wife who acknowledged the execution of the foregoing Warranty Deed for and on behalf of such Grantor, and who, having been duly sworn, stated that the representations therein contained are true. r This instrument was prepared by Douglas C. Haney, Carmel City Attorney, City Hall, One Civic Square, Carmel, Indiana 46032 Send tax bills to: One Civic Square, Carmel, IN 46032 After recording, return deed to: Douglas C. Haney, Carmel City Attorney, City Hall, One Civic Square, Carmel, Indiana 46032 I affirm, under the penalties for perjury, that I have taken reasonable care to redact each and every Social Security number from this document, unless it is required by law. J i vv� vleiN ✓0 EXHIBIT "A" Project: 07 -08 Parcel 111 Fee Simple with Full Limitation of Access Key No. 16- 10- 31- 00 -00- 008.004 0. L. f�lj This description was prepared for the City of Carmel by �,`Q.,; Tracy L. McGill, Indiana Registered Land Surveyor, B License Number LS20500009, on the 10`" day of I* September, 2008. 009: STATE OF ;$7,,,,..op I A1111' .111 1)/minirm:n"ntr: Sheet 1 of 1 A part of the Southeast Quarter of Section 31, Township 18 North, Range 4 East, Hamilton County, Indiana, and being that part of the grantors' land lying within the right of way lines depicted on the attached Right of Way Parcel Plat, marked EXHIBIT "B described as follows: Commencing at the northwest corner of said quarter section; thence North 89 degrees 55 minutes 57 seconds West 1321.64 feet along said north line to the point of beginning of this description designated as point "581" on said parcel plat; thence South 5 degrees 36 minutes 21 seconds West 251.90 feet to a south line of said grantors' land; thence North 89 degrees 49 minutes 07 seconds West 7.52 feet along said south line to the eastern boundary of Keystone Parkway; thence North 5 degrees 36 minutes 19 seconds East 251.88 feet along the boundary of said Keystone Parkway to the north line of said quarter section designated as point "580" on said parcel plat; thence South 89 degrees 55 minutes 57 seconds East 7.53 feet along said north line to the point of beginning and containing 0.043 acres, more or less. All bearings in this description which are not quoted from previous instruments are based on the bearing system for the City of Carmel Project 07 -08. 36 36 z3 M CC T.< EXHIBIT "B" SHEET 1 OF 2 RIGHT -OF -WAY PARCEL PLAT Prepared For The City of Carmel by: AMERICAN STRUCTUREPOINT INC. 4-)•°` CARMEL DRIVE 1026.86' -15' D &U EASEMENT 270.00' 270.00' EXISTING R/W R/W EXISTING R/W T -18 -N T -17 -N 0 r 15'D: ASEMENT LOT 352 LOT 353 LOT 354 Cn 0 100' 200' SCALE: 1" =200' WOODLAND SPRINGS EIGHTH SECTION PLAT BOOK 3, PAGE 125 J `EXISTING R/W 1 32 HATCHED AREA IS THE APPROXIMATE TAKING OWNER: PARCEL: PROJECT: ROAD: COUNTY: SECTION: TOWNSHIP: RANGE: NAE, GEORGE ET UX. 111 07 -08 Keystone Parkway Hamilton 31 18 NORTH 4 EAST DRAWN BY: TBB CHECKED BY: DJE INSTRUMENT NO. 200600025151, DATED OCTOBER 28,2005 THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY. Point North East Station Offset 35 43 See Location Control Route Survey Plat 47 151 20819.7080 15263.0670 Additional Section Corner located (Harrison Mon.) 580 23479.9360 13926.9884 +PL(522 +05.58) EX RW(87.51') Rt. E 581 23479.9271 13934.5151 +PL(522 +06.31) LA RW(95') Rt. E 582 23000.9238 13887.4988 517 +25 95' Rt. E EXHIBIT "B" RIGHT -OF -WAY PARCEL PLAT Prepared For The City of Carmel by: AMERICAN STRUCTUREPOINT INC. POINT REFERENCE CHART (Feet) SURVEYOR'S STATEMENT To the best of my knowledge and belief, this plat, together with the "Location Control Route Survey" recorded as Inst. No. 200200088040 in the Office of the Recorder of Hamilton County, Indiana, incorporated and made a part hereof by reference, comprise a Route Survey executed in accordance with Indiana Administrative Code 865 IAC 1 -12 "Rule 12 p Tracy L. McGiII Date Reg. Land Surveyor No. LS20500009 State of Indiana SHEET 2 OF 2 'sr l"" L mNUttu, 4S;;0;Vgfrk? 1 No. :20500009 STATE OF 8' r rr U B J ti 7/it itinr,tt ttttttp NOTE: STATIONS AND OFFSETS ARE TO CONTROL OVER NORTH AND EAST COORDINATES. OWNER: NAE, GEORGE ET UX. PARCEL: 111 PROJECT: 07 -08 ROAD: Keystone Parkway COUNTY: Hamilton SECTION: 31 TOWNSHIP: 18 NORTH RANGE: 4 EAST DRAWN BY: TBB CHECKED BY: AMERICAN STRUCTUREPOINT, INC PROJECT NO. IN20030661 THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY.)